20071498 Ver 1_Certification of Completion_20080325

~~~~~~a
C=ication of Completion MAR~~-2008
uEP~k - iYAI Ek QuAI~TY
V1~ETiaNpS „Nil STORMWATER 6RANC.H
DWQ Project No.: ~ 7l~9~ County: ~iVOE'2
Applicant:
Project Name: %o/JS~/L ~"/G~S ~A~/O/it/
Date of Issuance of Wetland Permit:
d cT' /, 2 0 7
Certificate of Comuletion
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Roles, and any
subsequent modifications, the applicant is required to return this certificate to the 441 Oversight/Express Permitting Unit,
North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1b50. This form may be
returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to send
certificates from all of these.
Applicant's Cerli, fication
~ hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications,
and other supporting materials.
Signature:
Date:
Agent's Certtf icatiion
I> hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications,
and other supporting materials.
Signature: Date:
If this project was designed by a Certi;~ed Professional
I, C ~p ~ ~ t`1 ~~ as a dul re ~ stered Professional ~~ Git/~
y gi t~~i.e., Engineer,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe (periodically,
weekly, full time) the construction of the project, for the Permittee hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the construction such that the construction was observed to be built within
substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules,. the approved plans and
specifications, th supporting materials.
Signature: Registration No. l~ 3?~/a +~ Date ~ Z 3 d 8

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TOPSAIL HEIGHTS SUBDIVISION
James Zepeda PLS. L-3632 REVISION~02/29/08
AS-BUILTFORDOCKd A'ALKWAY
21 D Futrell Rd. DATE: 06/09/07
Richlands NC 28574
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